340B Drug Pricing Program Database

Pharmacy Name

AMERICAN DRUG STORES LLC

Pharmacy Address

OSCO DRUG #3538
1763 W HOWARD ST
CHICAGO, IL 60626-1626

Pharmacy Comments

Approval Date

10/15/2019

Contract Begin Date

1/1/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Kristin Keglovitz-Baker, SVP, Chief Operating Officer
(773) 388-8901

Contract Pharmacy Representative

Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304

Signed By Date

10/15/2019